|
Henry, Correct me
if I am mistaken but I believe what is being described is your translator
mapping testing scenarios. The translation process is being tested to ensure
that the fields from the 1500 map correctly to the appropriate data elements in
an 837. The adjuster is familiar with the data representation on a 1500 and
would like to cross-reference what he understands with that mapped data
reflected in the 837. This is an appropriate methodology for testing the human
function of building translation maps. Under this testing process, the expected
result should be known which would be the original claim in the 1500 format.
>From a payer perspective the easiest and most logical way of proving correct
mapping is to take existing 1500’s in production and have them represented in a
compliant 837’s. The 837 would then be sent through the translator and converted
back to the original 1500 for adjudication. The analyst now has the original
production file (the expected result) to compare to the HIPAA test file (837). The two
test files do not have to match in relation to the extraneous data contained in
an 837, only in relation to the data elements brought forward for adjudication
in proprietary format. Please contact me offline for the data and methodology to
accomplish your goals, it is available and not very complicated. Regards, Mark A Lott President/CEO HIPAA Testing, Inc. www.hipaatesting.com Executive Co-Chair HCCO - Transactions Group HIPAA Conformance Certification Organization www.hcco.us Office: 480-946-7200 Cell:
480-239-5112 Fax: 877-272-2841 CONFIDENTIALITY NOTICE: This e-mail message, including any
attachments, is for the sole use of the intended recipient(s) and may contain
confidential and/or privileged information. Any unauthorized review, use, disclosure
or distribution is prohibited. If you are not the intended recipient, please
contact the sender by reply e-mail and destroy all copies of the original
message -----Original Message----- Does anyone happen to know of test data (either for sale or free)
where you could have two items: a) a test 837 Professional claim --- and --- You're probably asking: why would someone want something like
that? --- Here's why: If you have (as a payer) a need for claims adjusters to
SEE a metaphor (or analogue) of a HIPAA EDI claim - AS WELL AS - the need to
feed appropriately converted data from that HIPAA EDI claim into your claims
system - then part of testing involves making sure you "render" that
EDI claim appropriately... Anyway, anyone hear of anybody offering such a "test
pair"? thanks .... Henry A Perretta --- You are currently subscribed to wedi-transactions as:
[EMAIL PROTECTED]
If you need to unsubscribe but your current email address is not
the same as the address subscribed to the list, please use the Subscribe/Unsubscribe
form at http://subscribe.wedi.org --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-transactions as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org |
Title: RE: 837 P Test File with corresponding "HCFA 1500" analogue
- 837 P Test File with corresponding "HCFA 1500"... Henry Perretta
- Re: 837 P Test File with corresponding "HCFA 1... Miriam Paramore
- RE: 837 P Test File with corresponding "HCFA 1... Marcallee Jackson
- Mark Lott
